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Matthew Petersen, DPT
NPI 1023933462 · on the registry since 2026
Practice
- Address
- 200 N Church St Ste 101
Mishawaka, IN 46544 - Phone
- (574) 807-9995
- Fax
- (574) 259-1506
Additional practice sites
- 12788 State Road 23, Granger, IN
- 300 S Saint Louis Blvd Ste 203, South Bend, IN
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana